JENNIFER ANN PAWLAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925746

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

PAWLAK

Suffix

Business Name

JENNIFER ANN PAWLAK OD

Original Issue Date

07/07/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

HOFFMAN ESTATES

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005